论文部分内容阅读
颌下腺双导管临床上罕见,我科诊治1例,现报告如下: 患者盛××,男性,40岁。住院号33816。因右颌下区进食时胀痛4月余入院。4月前发现进食时右颌下区肿块隆起,伴有胀感,轻微疼痛,进食后肿胀缓解。近来症状未加剧,无阵发性剧痛史。体检:一般情况良好,全身体检无特殊发现。右颌下三角区隆起,颌下腺可触及约3×4×5 cm大小,质中稍有粘连,轻微压痛,未扪及波动感,皮肤色泽如常。口内外双合诊肿块为颌下腺体,稍前扪及索条状导管,并有一0.4×0.3cm结石样肿物,轻度触痛。右舌下肉阜区不红肿,颌下腺导管开口清晰,挤压右颌下区无脓性分泌物溢出。X线摄片证实导管内有结石存在。诊断:右慢性颌下腺炎,导管结石。 1991年1月16日在局麻下行右颌下腺摘除术。手术至颌下腺前下深面时,有一导管分出,向前游离导
Submandibular gland double catheter clinically rare, our department diagnosis and treatment of a case, are as follows: Patients Sheng × ×, male, 40 years old. Hospital number 33816. Due to the right lower quadrant when eating pain more than 4 months admission. 4 months ago found eating submandibular mass swelling, accompanied by bloat, slight pain, swelling ease after eating. Recently the symptoms have not intensified, no episodes of paroxysmal pain. Physical examination: generally good, no special physical examination found. Submaxillary triangular area uplift, submandibular gland can reach about 3 × 4 × 5 cm size, the quality of a little adhesions, slight tenderness, no palpable flu, the skin color as usual. Oral and external double joint lumps for the submandibular gland, palpable before a small strip catheter, and a 0.4 × 0.3cm stone-like mass, mild tenderness. The right sublingual Fudu area is not inflated, submandibular gland duct openings clear, squeezing the right mandibular region without purulent discharge overflow. X-ray confirmed the existence of stones in the catheter. Diagnosis: Right chronic submandibular gland inflammation, ductal stones. January 16, 1991 under local anesthesia submandibular gland extirpation. Surgery to the deep anterior submandibular gland when there is a catheter out of the free guide forward